The holder whose full name is Laskarin, Lisa,come from La Porte IN,hold the CSR-Prescriptive Authority license(NO.71004118C) which status is Expired.
Name | Laskarin, Lisa |
---|---|
License Number | 71004118C |
License Type | CSR-Prescriptive Authority |
License Status | Expired |
City | La Porte |
State | IN |